Mary C R Wilson

Mary C R Wilson
Independent Researcher

BSc hons, MA, PhD
Retired nurse practitioner

About

33
Publications
253,300
Reads
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272
Citations
Introduction
I have now completed my qualitative research project 'Living with faecal incontinence: A 10 year follow-up' (FU). An article reporting this has been published in March 2015. The initial research was a constructivist grounded theory study, carried out with my supervisors, for PhD. I also completed a 5 yr FU, as reflected in my publications. In each study, I collected the data using guided interviews. I initially interviewed 22 participants; in the 5 yr FU, 11, and in the 10 yr FU, 9 participated.
Additional affiliations
August 2007 - March 2010
East Riding of Yorkshire Primary Care Trust
Position
  • Advanced (nurse) Practitioner for Bladder & Bowel Health
Description
  • Living with Faecal Incontinence : Five Year Follow-up Study (qualitative research using semi-structured interviews)
September 2005 - December 2012
East Riding of Yorkshire Primary Care Trust / Humber NHS Foundation Trust
Position
  • Advanced (nurse) Practitioner for Bladder & Bowel Health
Description
  • 2006-2007: member of the National Institute for Health and Clinical Excellence Clinical Guideline Development Group developing clinical guideline 61: Irritable bowel syndrome in adults: diagnosis and management of irritable bowel syndrome in primary care.
May 1988 - August 2005
East Riding of Yorkshire Primary Care Trust
Position
  • Continence Nurse Specialist
Description
  • Clinical practice and education (this description also applies to 2005-2012)
Education
August 2000 - August 2006
University of Newcastle upon Tyne (Centre for Health Services Research)
Field of study
  • 'Living with faecal incontinence' :qualitative research project using grounded theory and semi-structured interviews
February 1998 - July 2000
University of Leeds
Field of study
  • Independent Practice (Nursing)
September 1996 - July 1998
University of Humberside
Field of study
  • Health Studies

Publications

Publications (33)
Article
Full-text available
Faecal incontinence (FI) is a taboo subject, and people living with it can feel stigmatised. This article reports on a 10-year qualitative follow-up to an initial constructivist-grounded theory project, investigating living with FI. This article will also look back at the initial study and the 5-year follow-up study undertaken. The research examine...
Article
Full-text available
Clean intermittent self-catheterisation is carried out when the bladder cannot be emptied adequately by voiding. Because learning how to self-catheterise can be daunting, it is essential that the nurse has the time, knowledge and skills necessary support the patient during the learning phase, so that he or she can develop confidence and master the...
Article
Full-text available
This paper reports on a descriptive qualitative five-year follow-up to an initial UK-based grounded theory study entitled 'Living with Faecal Incontinence.' Both studies collected data using in-depth guided interviews. The aim of the follow-up study was to identify any changes including adaptation and establish determining factors for people with f...
Article
Full-text available
Investigation into the impact of faecal incontinence (FI) on the quality of life (QoL) has resulted in the development of scales to measure severity of the condition. However, some of these have been criticized for reflecting the perspective of health professionals, rather than that of the person experiencing FI. Qualitative studies considering the...
Article
Full-text available
This article looks at incontinence-associated dermatitis (IAD) from the perspective of urinary incontinence (UI). IAD is caused by urine remaining on the skin following UI, which has many causes. It therefore should be assessed, treated and either resolved or managed to reduce the risk of IAD or its impact. The skin's anatomy and physiology are dis...
Article
Full-text available
Mary Wilson outlines the changes that take place in a person’s skin as part of the ageing process, and discusses the best ways to manage skin cleansing and skin care for people with dementia as part of care provision to maintain an optimal quality of life
Article
Full-text available
This article discusses transanal irrigation: what it is, the clinical conditions that might be helped by it and less invasive options that should be considered before starting irrigation. It looks at the delivery of this procedure, describes the different options available and compares and contrasts devices manufactured by five different companies....
Article
Full-text available
Incontinence-associated dermatitis (IAD) being a huge problem for people living in care; however, it is entirely avoidable with proper skin cleaning. Mary Wilson describes the signs and symptoms of IAD and the preventive strategies that can, and should, be employed.
Article
Full-text available
It is estimated that over 90,000 people in the UK community live with an indwelling catheter. Nearly 60% have urethral catheters while 40% are catheterised suprapubically; prevalence increases with age, especially among men. This article looks at issues relevant to those in the community who live with an indwelling catheter and those looking after...
Article
Full-text available
This article looks at catheter securement and fixation in the residential setting, from the perspective of why it is necessary, and how to identify which products are most appropriate for each individual.
Article
Full-text available
This article looks at urinary tract infection, initially, discussing those who are more at risk from developing urinary tract infection and then outlines diagnosis. The different forms of treatment available, the consequences of not treating and other issues, including bacterial resistance to antibiotics, are examined. Further causes of urinary tra...
Article
Full-text available
Traction on indwelling urinary catheters can traumatise the lower urinary tract and external genitalia, although this can be counteracted by catheter securement. This can provide shock absorption in the case of sudden tugging of the catheter and prevent ongoing traction, for example, from the weight of the drainage bag. This article looks at altern...
Article
Full-text available
This article looks at leg bags from the perspective of the clinical guidance available, published research, review papers, the diverse nature of products available, and their use with catheters, sheaths or urinals. The part that leg bags play in catheter-associated urinary tract infection control is addressed. Other aspects of catheter safety are d...
Article
Full-text available
Urinary incontinence is defined and the estimated prevalence according to age is considered briefly, as is the emotional impact on the lives of men with this condition. The necessity of the assessment of urinary incontinence and the creation of an appropriate care plan is touched upon, but the article focuses on the aids available. Penile sheaths a...
Article
Full-text available
This article looks at the indications for catheterisation, the anatomy of the urethra, the importance of asepsis and the rationale for the use of urethral lubrication for catheter insertion. The variations of lubrication available are discussed, including the use of products containing lidocaine and chlorhexidine. It then considers the problems cau...
Article
This is the second of a two-part article and addresses the problems encountered throughout the life of a catheter from those relating to its insertion, through the time when it is in situ, to those associated with its removal. Catheters can cause discomfort and reasons for this are discussed including latex allergy, atrophic changes in women, block...
Article
This is that first of a two-part article looking at the indications for long-term urethral catheterization and good practice, including the use of aseptic non-touch technique used in insertion, and the choice of catheter length and Charrière size. The various routes that bacteria can take to the bladder are discussed, and the reduction in catheter-...
Conference Paper
Full-text available
This grounded theory study investigates what it is like to live with faecal incontinence (FI). In-depth guided interviews were conducted with 22 community-dwelling adults between April 2002 and September 2003. There was also a 5-year follow-up study to find out how participants were coping, in which 11 individuals took part. Subjects described thei...
Article
Full-text available
This article discusses irritable bowel syndrome - a functional bowel disorder - from the perspective of the prevalence, symptoms and the three forms that it can be manifest in, the possible causes and the diagnosis. Dietary and lifestyle advice are considered, along with the pharmaceutical management. INDEPENDENT NURSE © Copyright 2011 MA Healthc...
Article
This article looks at the anatomy of the bladder and how sensations, including pain, are transmitted to the brain. The use of urinary catheters is discussed and initially, the development of biofilm is addressed, from its cause, structure and effect, to how it can be treated. Many of the problems arising from biofilm and the resulting encrustation,...
Article
Full-text available
People living with faecal incontinence (FI) are often reluctant to talk to family or healthcare professionals about their feelings and the effects FI has on their lives. This paper provides an account of a continence nurse specialist undertaking a study using guided interviews to elicit the views of 22 people with FI.
Article
Long-term catheterisation is common in hospital patients but can result in complications, including catheter encrustation. There have been numerous interventions aimed at the prevention or reduction of encrustation. Oral intake of vitamin C or cranberry juice, acidic or antimicrobial catheter maintenance solutions, different catheter materials and...
Article
Intermittent catheterization (IC) is a widely used technique for emptying the bladder, first recorded in 1000?bce. This article describes the normal anatomy and physiology of bladder filling and emptying, and discusses the reasons why emptying may be incomplete. Incomplete emptying usually has a neurogenic or obstructive cause, leading to symptoms...
Article
Mary Wilson outlines the causes of diarrhoea, why bowel control may be lost when stools are loose, the potential damage to the skin and how this can be minimised. It is important that appropriate interventions are employed to treat the cause of the diarrhoea but these are not discussed in this article.
Article
Full-text available
This article provides a reflective overview of some of Mary Wilson's experiences of changing from being a UK continence nurse specialist to a novice researcher. She reflects on how her study was relevant to her nursing specialty but as a novice researcher, she had to re-think ingrained and often subconscious perspectives gained from years of contin...
Article
Full-text available
Urinary catheters can be introduced into the urinary bladder either per urethra or via the suprapubic route; this article examines indications and contraindications to these routes. Catheter pain is subdivided into pain experienced as the catheter is passed, while in situ, and on removal. Relating to pain felt on insertion, risks associated with lo...
Article
Mary Wilson reviews the NICE guidelines on the management of faecal incontinence.
Article
This guest editorial looks at continence care, acknowledging that despite advancement in treatment options available, it is often still seen as a Cinderella service; nurses providing continence care may continue to offer palliative intervention only. Incontinence remains a taboo subject and those with the condition, particularly if they have experi...
Article
Faecal incontinence, a symptom of many diverse conditions, is a taboo subject. It can cause people to feel stigmatised and socially unaccepted. However, little research has taken place into the perspectives and experiences of people living with the problem, its impact on their lifestyle and how they adapt. Likewise, little attention has been given...
Article
Background: Because of society’s expectation that bodily functions will be controlled, people with faecal incontinence can feel ashamed and embarrassed. These standards of cleanliness are deeply ingrained from early childhood. Society demands that bowel control must be learnt from an early age and infants are taught that bodily waste is ‘dirty’. Ai...

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